OBJECTIVE: Failure to identify fractures is the most common error in accident and emergency departments. Therefore, the current research aimed to understand more about the processes underlying perceptual expertise when interpreting skeletal radiographs. MATERIALS AND METHODS: Thirty participants, consisting of ten novices, ten intermediates, and ten experts were presented with ten clinical cases of normal and abnormal skeletal radiographs of varying difficulty (obvious or subtle) while wearing eye tracking equipment. RESULTS: Experts were significantly more accurate, more confident, and faster in their diagnoses than intermediates or novices and this performance advantage was more pronounced for the subtle cases. Experts were also faster to fixate the site of the fracture and spent more relative time fixating the fracture than intermediates or novices and this was again most pronounced for subtle cases. Finally, a multiple linear regression analysis found that time to fixate the fracture was inversely related to diagnostic accuracy and explained 34 % of the variance in this variable. CONCLUSIONS: The results suggest that the performance advantage of expert radiologists is underpinned by superior pattern recognition skills, as evidenced by a quicker time to first fixate the pathology, and less time spent searching the image.
OBJECTIVE: Failure to identify fractures is the most common error in accident and emergency departments. Therefore, the current research aimed to understand more about the processes underlying perceptual expertise when interpreting skeletal radiographs. MATERIALS AND METHODS: Thirty participants, consisting of ten novices, ten intermediates, and ten experts were presented with ten clinical cases of normal and abnormal skeletal radiographs of varying difficulty (obvious or subtle) while wearing eye tracking equipment. RESULTS: Experts were significantly more accurate, more confident, and faster in their diagnoses than intermediates or novices and this performance advantage was more pronounced for the subtle cases. Experts were also faster to fixate the site of the fracture and spent more relative time fixating the fracture than intermediates or novices and this was again most pronounced for subtle cases. Finally, a multiple linear regression analysis found that time to fixate the fracture was inversely related to diagnostic accuracy and explained 34 % of the variance in this variable. CONCLUSIONS: The results suggest that the performance advantage of expert radiologists is underpinned by superior pattern recognition skills, as evidenced by a quicker time to first fixate the pathology, and less time spent searching the image.
Authors: Hong-En Chen; Cheyenne C Sonntag; David F Pepley; Rohan S Prabhu; David C Han; Jason Z Moore; Scarlett R Miller Journal: Am J Surg Date: 2018-11-13 Impact factor: 2.565
Authors: Robert Alexander; Stephen Waite; Michael A Bruno; Elizabeth A Krupinski; Leonard Berlin; Stephen Macknik; Susana Martinez-Conde Journal: Radiology Date: 2022-06-14 Impact factor: 29.146
Authors: Geb W Thomas; Salvador Rojas-Murillo; Jessica M Hanley; Clarence D Kreiter; Matthew D Karam; Donald D Anderson Journal: Iowa Orthop J Date: 2016
Authors: Stephanie Brams; Gal Ziv; Ignace Tc Hooge; Oron Levin; Johny Verschakelen; A Mark Williams; Johan Wagemans; Werner F Helsen Journal: J Med Imaging (Bellingham) Date: 2021-03-13
Authors: A van der Gijp; C J Ravesloot; H Jarodzka; M F van der Schaaf; I C van der Schaaf; J P J van Schaik; Th J Ten Cate Journal: Adv Health Sci Educ Theory Pract Date: 2016-07-19 Impact factor: 3.853